Healthcare Provider Details

I. General information

NPI: 1396664900
Provider Name (Legal Business Name): SHEFFEY D THOMAS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 HAW CREEK CIR E STE 403
CUMMING GA
30041-6567
US

IV. Provider business mailing address

1435 HAW CREEK CIR E STE 403
CUMMING GA
30041-6567
US

V. Phone/Fax

Practice location:
  • Phone: 770-940-9679
  • Fax:
Mailing address:
  • Phone: 770-940-9679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: